Individual provider Active NPI

Melissa Walker, O.D.

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1215299359
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002608 Issued in PA
Practice address
1254 Lititz Pike
Lancaster, PA 17601-4340
Phone
(717) 397-4724
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002608 PA Primary

Addresses

Primary practice location

1254 Lititz Pike
Lancaster, PA 17601-4340

Mailing address

1254 Lititz Pike
Lancaster, PA 17601-4340
Phone (717) 397-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000375 PA Practitioner - Optometry 1153587597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Lancaster LTDGroup PAC ID 3476445974, 7 clinicians

Practice addresses (Care Compare)

1254 Lititz Pike
Lancaster, PA 17601-4340
Phone 7173974724974724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002608PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Lancaster LTD CurrentSince Jun 18, 2012 Accepting new patients
Eye Associates of Lancaster LTD CurrentSince Jun 18, 2012 Accepting new patients

Locations

1713 W Main St
Ephrata, PA 17522
Phone (717) 397-4724

1254 Lititz Pike
Lancaster, PA 17601
Phone (717) 397-4724

606 Community Way
Lancaster, PA 17603
Phone (610) 541-2807

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1215299359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 LITITZ PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014340",
            "telephone_number": "717-397-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 LITITZ PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014340",
            "telephone_number": "717-397-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.